Park Reservation Form
Date of Request:
For Municipality Use Only
Date Deposit Received:
Date Electrical Service Fee Received:
City of Galva
311 N. W. 4th Avenue
Phone: (309) 932-2555
Fax: (309) 932-3306
Name of Event:
Date of Event:
Time of Event:
Web site for event?
General Description of Event:
$5 x Hours Electrical Service:
Payments must be received by:
Park You Wish To Reserve:
Please fill out the information on this form, print it
out, sign and date it at the bottom, and return it with
a $25.00 dollar deposit plus any electrical service fees
to the City Clerk's office located at 311 N.W. 4th
Electrical Service Fees can be computed by
multiplying the number of hours your event will be
taking place by $5.00 per hour (two hour minimum).
Please remember that payments must be received no
later than forty-eight (48) hours in advance of your
If you have any questions regarding this form,
contact the City Clerk's office at (309) 932 - 2555.
Tip: before you schedule your event, check the
municipal calendar located on our home page
(www.galvail.gov) to make sure there are no conflicts.
Applicant Signature:_________________________________________ Date:____________________________
Approved by:_______________________________________________ Date:____________________________